Clinical Neuroanatomy OVERVIEW The goal of this course is to provide students with a working knowledge of the basic neuroanatomic structures of the central nervous system including the motor system, somatosensory system, cranial nerves, cerebellum, basal ganglia, limbic structures, ventricles, meninges, and the vascular supply of the brain. After each major system, structure, or anatomical pathway is presented, the consequences of damage to that system will be presented. These are referred to as “Key Clinical Concepts” in your textbook and throughout these modules. Furthermore, clinical cases will be presented to help solidify the anatomical facts. In this fashion, the neuroanatomical details will take on clinical relevance, and thus a deeper appreciation of how the central nervous system operates will hopefully be attained. COURSE DIRECTOR Gregory P. Lee, Ph.D., ABPP-CN Professor, Department of Neurology, School of Medicine Professor, School of Allied Health Sciences and School of Graduate Studies Medical College of Georgia Augusta, GA REQUIRED MATERIALS Blumenfeld, H. (2010). Neuroanatomy Through Clinical Cases, Second Edition. Sunderland, MA: Sinauer Associates (ISBN: 0878930582) Note: Students should purchase the Blumenfeld text from the vendor of your choice immediately after registration. Brain Dissection Video Version 1.1. This will be sent to you after registration. DURATION, CREDITS, WORKLOAD and COSTS This is a 15-week online learning experience that combines text readings, online material, video, supplemental thought questions, and student-instructor interactions via an online discussion board. The course is divided into seven learning modules, each approximately 2 weeks in duration. Students who successfully complete all course requirements are eligible to receive 30 CE credits for psychologists. The National Academy of Neuropsychology is approved by the American Psychological Association to offer continuing education for psychologists. The National Academy of Neuropsychology maintains responsibility for the program. The DistanCE program expects that a MINIMUM workload of 3-4 hours of work is necessary to keep up with the course. Students who have taken the course in the past report that 5-6 hours of work per week is more common. Course costs are $15.00 per credit for NAN Professional, Associate and Affiliate Members and $5 per credit for NAN Student Members. A current NAN Member ID is required at the time of registration. Membership in NAN is not required for participation. The Non-member rate is $25.00 per credit. These costs were approved 11/10/2009 and become effective with our summer 2010 offerings. OBJECTIVES Upon completion of the course, the learner will: 1. Describe the gross anatomy of the brain, major landmarks, basic organization of the primary and secondary motor and sensory association areas, and the primary relationships between cortex and subcortical structures. 2. Identify the key elements of the neurological examination and describe how neurologists interpret results to infer location and type of disease. 3. Identify the structure and relative location of the ventricles and meninges and compare and contrast the primary clinical conditions associated with their pathology including headache, increased intracranial pressure, herniation syndromes, tumors, and hydrocephalus. 4. Describe the basic anatomy of the spinal cord, motor system, autonomic nervous system, somatosensory pathways, and structure and function of thalamus. Participants will relate these regions to signs and conditions associated with their dysfunction such as hemiparesis, unsteady gait, multiple sclerosis, paresthesias, sensory loss, and pain. 5. Examine the pathways, brainstem nuclei, and methods of assessment of the cranial nerves and list signs and symptoms of their dysfunction including anosmia, eye gaze and pupillary disorders, facial numbness, hearing loss, dizziness, dysarthria, dysphagia and pseudobulbar affect. 6. Analyze and discuss the vascular supply, cytoarchitecture, and major input and output pathways of the cerebellum and review clinical findings and localization of cerebellar lesions and differential diagnosis of ataxia. 7. Analyze the intrinsic connections and input and output pathways of the basal ganglia and describe their basic functions and signs of dysfunction, especially as related to the movement disorders including Parkinson’s disease and Huntington’s disease. 8. List and define the major limbic system structures and their interconnections, especially the hippocampus and amygdala, and discuss how lesions of these regions affect memory, emotion, and olfaction. COURSE REQUIREMENTS To pass course requirements and earn continuing education credits or certificates of completion students must 1) complete all multiple choice posttest examinations, earning a cumulative percentage >74% correct and 2) participate in assigned course discussions and activities as judged by the instructor. The DistanCE online system automatically records performance on our multiple-choice exams, which may be taken multiple times. SCHEDULE Week 1: Introduction to Course Review of Course Syllabus and Requirements Technology Issues/Getting on the DistanCE Website Obtaining Materials Week 2: Resolve Outstanding Technology Issues Begin Module 1: Neuroanatomy Overview and Basic Definitions Blumenfeld: Chapter 2: pp. 14 – 46 Week 3: Complete Module 1: Neuroanatomy Overview and Basic Definitions Gross Brain Dissection Video – Dr. Gulati Complete Module 1 Quiz Blumenfeld: Chapter 2: pp. 14 – 46 Week 4 Complete Module 2: The Neurological Examination Complete Module 2 Quiz Blumenfeld: Chapter 3: pp. 50 – 81 and www.neuroexam.com Week 5 Begin Module 3: Brain & Environs: Cranium, Ventricles, and Meninges Blumenfeld: Chapter 5: pp. 126 - 217 Week 6 Complete Module 3: Brain & Environs: Cranium, Ventricles, and Meninges Complete Module 3 Quiz Blumenfeld: Chapter 5: pp. 126 - 217 Week 7 Begin Module 4: Corticospinal Tract and Other Motor Pathways Blumenfeld: Chapter 6: pp. 224 - 270 Week 8 Complete Module 4: Somatosensory Pathways Complete Module 4 Quiz Blumenfeld: Chapter 7: pp. 276 - 314 Week 9 Begin Module 5: Visual System Blumenfeld: Chapter 11: pp. 460 - 490 Week 10 Complete Module 5: Brainstem I: Surface Anatomy & Cranial Nerves Complete Module 5 Quiz Blumenfeld: Chapter 12: pp. 494 - 561 Week 11 Begin Module 6: Cerebellum Blumenfeld: Chapter 15: pp. 698 – 735 Week 12 Complete Module 6: Basal Ganglia Complete Module 6 Quiz Blumenfeld: Chapter 16: pp. 740 - 785 Week 13 Begin Module 7: Limbic System: Homeostasis, Olfaction, Memory, and Emotion Blumenfeld: Chapter 18: pp. 820 - 875 Week14 Complete Module 7: Limbic System Complete Module 7 Quiz Blumenfeld: Chapter 18: pp. 820 – 875 Week 15 Complete Any Outstanding Assignments Course Evaluation Online |